Koshland Pharm: Custom Compounding Pharmacy

LBN: Koshland Pharmacy Inc
Koshland Pharm: Custom Compounding Pharmacy is an health care organization with primary practice located at 301 Folsom St Ste B , San Francisco CA 94105-2309. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Koshland Pharmacy Inc can be contacted via phone (415) 344-0600, or through Koshland, Peter via phone (510) 318-2852.

Contact Information

Primary practice address
301 Folsom St Ste B San Francisco CA 94105-2309
Fax: (415) 344-0607
Website:
Authorized official contact:
Name: Koshland, Peter

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X PHY50041 California

Profile Details

NPI number 1205161775
LBN Legal business name Koshland Pharmacy Inc
DBA Doing business as Koshland Pharm: Custom Compounding Pharmacy
Authorized official Koshland, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2009
Last updated Aug 4th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205161775 NPPES
Other 2122390 PK

Popular Providers